{"id":"https://openalex.org/W2170901303","doi":"https://doi.org/10.3109/00048674.2011.594948","title":"Australia's Better Access Initiative: An Evaluation","display_name":"Australia's Better Access Initiative: An Evaluation","publication_year":2011,"publication_date":"2011-09-01","ids":{"openalex":"https://openalex.org/W2170901303","doi":"https://doi.org/10.3109/00048674.2011.594948","mag":"2170901303","pmid":"https://pubmed.ncbi.nlm.nih.gov/21888609"},"language":"en","primary_location":{"id":"doi:10.3109/00048674.2011.594948","doi":"https://doi.org/10.3109/00048674.2011.594948","is_oa":false,"landing_page_url":"https://doi.org/10.3109/00048674.2011.594948","pdf_url":null,"source":{"id":"https://openalex.org/S179943861","display_name":"Australian & New Zealand Journal of Psychiatry","issn_l":"0004-8674","issn":["0004-8674","1440-1614"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian &amp; New Zealand Journal of Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051474835","display_name":"Jane Pirkis","orcid":"https://orcid.org/0000-0002-2538-4472","observed_orcids":["https://orcid.org/0000-0002-2538-4472"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Jane Pirkis","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020792945","display_name":"Maria Ftanou","orcid":"https://orcid.org/0000-0001-5884-7851","observed_orcids":["https://orcid.org/0000-0001-5884-7851"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Maria Ftanou","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062208410","display_name":"Michelle Kate Williamson","orcid":"https://orcid.org/0009-0006-9403-5483","observed_orcids":["https://orcid.org/0009-0006-9403-5483"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Michelle Williamson","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049093435","display_name":"Anna Machlin","orcid":"https://orcid.org/0000-0002-1547-4415","observed_orcids":["https://orcid.org/0000-0002-1547-4415"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Anna Machlin","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067367617","display_name":"Matthew John Spittal","orcid":"https://orcid.org/0000-0002-2841-1536","observed_orcids":["https://orcid.org/0000-0002-2841-1536"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Matthew J. Spittal","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065798273","display_name":"Bridget Bassilios","orcid":"https://orcid.org/0000-0001-6255-017X","observed_orcids":["https://orcid.org/0000-0001-6255-017X"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Bridget Bassilios","raw_affiliation_strings":["Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088401912","display_name":"Meredith Harris","orcid":"https://orcid.org/0000-0003-0096-729X","observed_orcids":["https://orcid.org/0000-0003-0096-729X"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Meredith Harris","raw_affiliation_strings":["School of Population Health, University of Queensland, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Population Health, University of Queensland, Brisbane, Australia","institution_ids":["https://openalex.org/I165143802"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5051474835"],"corresponding_institution_ids":["https://openalex.org/I165779595"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":10.429,"has_fulltext":false,"cited_by_count":74,"citation_normalized_percentile":{"value":0.98146664,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"45","issue":"9","first_page":"726","last_page":"739"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.012600000016391277,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare-benefits-schedule","display_name":"Medicare Benefits Schedule","score":0.9800000190734863},{"id":"https://openalex.org/keywords/mental-health-services","display_name":"mental health services","score":0.48500001430511475},{"id":"https://openalex.org/keywords/clinical-psychologists","display_name":"clinical psychologists","score":0.7440000176429749},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9900000095367432},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.8899999856948853},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9990000128746033},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.9890000224113464},{"id":"https://openalex.org/keywords/treatment-outcomes","display_name":"treatment outcomes","score":0.6729999780654907},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.6190000176429749}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3719538748264313},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.35922980308532715}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3109/00048674.2011.594948","doi":"https://doi.org/10.3109/00048674.2011.594948","is_oa":false,"landing_page_url":"https://doi.org/10.3109/00048674.2011.594948","pdf_url":null,"source":{"id":"https://openalex.org/S179943861","display_name":"Australian & New Zealand Journal of Psychiatry","issn_l":"0004-8674","issn":["0004-8674","1440-1614"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian &amp; New Zealand Journal of Psychiatry","raw_type":"journal-article"},{"id":"pmid:21888609","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21888609","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Australian and New Zealand journal of psychiatry","raw_type":"Evaluation Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.4000000059604645,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320315885","display_name":"Australian Government","ror":"https://ror.org/0314h5y94"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W102691765","https://openalex.org/W1959677436","https://openalex.org/W1989012023","https://openalex.org/W1989783919","https://openalex.org/W2033901652","https://openalex.org/W2064193485","https://openalex.org/W2065188129","https://openalex.org/W2086122362","https://openalex.org/W2092736905","https://openalex.org/W2115066869","https://openalex.org/W2131738783","https://openalex.org/W2138881749","https://openalex.org/W2141674457","https://openalex.org/W2141727591","https://openalex.org/W3006568289"],"related_works":["https://openalex.org/W2100072915","https://openalex.org/W7133557940","https://openalex.org/W2070659159","https://openalex.org/W7133560566","https://openalex.org/W7099097111","https://openalex.org/W7133552087","https://openalex.org/W4387683022","https://openalex.org/W7124691510","https://openalex.org/W2160832287","https://openalex.org/W2171706900"],"abstract_inverted_index":{"BACKGROUND:":[0],"Australia's":[1],"Better":[2,50,83,114,141,279],"Access":[3,84,115,142,280],"to":[4,65,131,138,145,155,272],"Psychiatrists,":[5],"Psychologists":[6],"and":[7,47,79,86,128,159,165,174,201,267],"General":[8],"Practitioners":[9],"through":[10],"the":[11,45,70,77,88,113,171,175,189,222,242,288],"Medicare":[12,22],"Benefits":[13,23],"Schedule":[14,24],"(Better":[15],"Access)":[16],"initiative":[17],"involves":[18],"a":[19,30,73,96,146],"series":[20],"of":[21,49,53,72,82,90,100,110,209,214,221,235,241,247,255],"(MBS)":[25],"item":[26,116],"numbers":[27,117],"which":[28,54,75],"offer":[29],"rebate":[31],"for":[32,105,293],"selected":[33],"services":[34],"delivered":[35],"by":[36,68,192,197,203],"eligible":[37],"clinicians.":[38],"There":[39],"has":[40,55],"been":[41,56],"considerable":[42],"debate":[43,67],"about":[44],"appropriateness":[46],"effectiveness":[48],"Access,":[51],"much":[52],"based":[57],"on":[58],"limited":[59],"evidence.":[60],"The":[61,275],"current":[62],"paper":[63],"contributes":[64],"this":[66],"presenting":[69],"findings":[71,276],"study":[74,190],"profiled":[76],"clinical":[78,121,194],"treatment":[80],"characteristics":[81],"patients":[85,143,158,185,211,250],"examined":[87],"outcomes":[89],"their":[91],"care.":[92,258,296],"METHOD:":[93],"We":[94,149,161],"approached":[95],"stratified":[97],"random":[98],"sample":[99],"providers":[101],"who":[102,134],"had":[103,212,251],"billed":[104],"at":[106],"least":[107],"100":[108],"occasions":[109],"service":[111],"under":[112],"in":[118,264,286],"2008":[119],"(509":[120],"psychologists,":[122,125,195],"640":[123],"registered":[124,199],"1280":[126],"GPs)":[127],"invited":[129],"them":[130],"participate.":[132],"Those":[133],"agreed":[135],"were":[136,186,228],"asked":[137],"recruit":[139],"5-10":[140],"according":[144],"specific":[147],"protocol.":[148],"collected":[150,163],"data":[151],"that":[152,278],"enabled":[153],"us":[154],"profile":[156],"providers,":[157],"sessions.":[160],"also":[162],"pre-":[164,271],"post-treatment":[166],"patient":[167],"outcome":[168],"data,":[169],"using":[170],"Kessler-10":[172],"(K-10)":[173],"Depression":[176],"Anxiety":[177],"Stress":[178],"Scales":[179],"(DASS-21).":[180],"RESULTS:":[181],"In":[182],"total,":[183],"883":[184],"recruited":[187],"into":[188],"(289":[191],"41":[193],"317":[196],"49":[198],"psychologists":[200],"277":[202],"39":[204],"GPs).":[205],"More":[206,225],"than":[207,226],"90%":[208],"participating":[210,249],"diagnoses":[213],"depression":[215],"and/or":[216],"anxiety":[217],"(compared":[218,238],"with":[219,239],"13%":[220],"general":[223,243],"population).":[224,244],"80%":[227],"experiencing":[229],"high":[230,233],"or":[231],"very":[232],"levels":[234],"psychological":[236],"distress":[237],"10%":[240],"Around":[245],"half":[246],"all":[248],"no":[252],"previous":[253],"history":[254],"mental":[256,294],"health":[257,295],"Patients":[259],"experienced":[260],"statistically":[261],"significant":[262],"improvements":[263],"average":[265],"K-10":[266],"DASS-21":[268],"scores":[269],"from":[270],"post-treatment.":[273],"CONCLUSIONS:":[274],"suggest":[277],"is":[281],"playing":[282],"an":[283],"important":[284],"part":[285],"meeting":[287],"community's":[289],"previously":[290],"unmet":[291],"need":[292]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":7}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
